
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"> 
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>推荐人</title>
<link rel="stylesheet" href="css/reset.css">
<link rel="stylesheet" href="css/Lobibox.min.css"/><!--ajax提示-->
<link rel="stylesheet" href="css/style.css"><!-- 美化 -->
<script src="js/jquery.min.js"></script>
<script src="js/jquery.cookie.js"></script><!--缓存-->
</head>

<body>

<div class="zzsc-container">
	<form class="cd-form floating-labels" action="addReq.do" id="regfrom">
		<fieldset class="clear-hidden">
            <legend><a href="index.html" style="float:right;">返回首页</a>申请为推荐人</legend>
            <!--<p style="font-size:12px;">请确保信息无误,如因身份信息导致提现错误自行负责!</p>-->
            <div class="icon">
			<label class="cd-label" for="WX">绑定微信</label>
			  <input type="text" class="user" id="WX" value="" readonly="readonly" /> 
              <input name="wxid" id="wxid" type="hidden" value="" />
			</div>
            
			<div class="icon">
				<label class="cd-label" for="QQ">您的真实姓名!</label>
				<input class="message" type="text" name="QQ" id="QQ" required />
			</div>
            <!--<p class="cd-select icon">
            <select class="message" name="sex">
                <option value="1" >男性</option>
                <option value="2" >女性</option>
            </select>
            </p>
			<div class="icon">
				<label class="cd-label" for="JDB">您的身份证号!</label>
				<input class="company" type="text" name="JDB" id="JDB" required />
			</div>-->
            <div class="icon">
				<label class="cd-label" for="ZFB">您的支付宝账号!</label>
				<input class="budget" type="text" name="ZFB" id="ZFB" required />
			</div>
			<div class="icon">
                <label class="cd-label" for="phonenum">您的手机号码</label>
                <input class="message" type="text" name="phonenum" id="phonenum" required />
            </div>
            <div class="icon cod">
                <span><img id="codimg" src="getCode.do" title="验证码,看不清楚？请点击刷新验证码" onClick="this.src='getCode.do?t='+(new Date().getTime());" style="cursor:pointer" ></span>
                <label class="cd-label" for="cod">验证码</label>
                <input class="message" type="text" name="cod" id="cod" required />
            </div>
          	<div class="icon cod">
                <input type="button" id="btnSendCode" class="btnSendCode" value="免费获取" />
                <label class="cd-label" for="smscod">短信验证码</label>
                <input class="message" type="text" name="smscod" id="smscod" required />
            </div>
            <input type="submit" id="regajax" class="from_button" value="提交申请" />
		</fieldset>
	</form>
</div>
</body>
<script src="js/Lobibox.min.js"></script><!--消息盒子-->
<script src="js/sms.js"></script><!--短信ajax-->

<script src="js/modernizr.js"></script> <!-- Modernizr -->
<script src="js/main.js"></script> <!-- Resource jQuery -->
</html>
